Provider Demographics
NPI:1134838600
Name:OVERLOOK THERAPY LLC
Entity type:Organization
Organization Name:OVERLOOK THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EICHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, CMPC
Authorized Official - Phone:978-482-7410
Mailing Address - Street 1:451 ANDOVER ST
Mailing Address - Street 2:SUITE 185
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5075
Mailing Address - Country:US
Mailing Address - Phone:978-482-7410
Mailing Address - Fax:
Practice Address - Street 1:451 ANDOVER ST
Practice Address - Street 2:SUITE 185
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5075
Practice Address - Country:US
Practice Address - Phone:978-482-7410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1578850616OtherNPI